Here is a case of chronic pancreatitis that was managed surgically at our center.

A 40 year old diabetic female was referred with intractable pain abdomen. She was a known case of chronic pancreatitis managed on medical treatment (pancreatic enzymes, analgesics) for the last 3 years. She also had developed diabetes during this period.

CT and MRCP picked up a large impacted stone at the head of pancreas with dilated pancreatic duct and atrophic pancreas.

After optimising, a decision to do laparoscopic lateral pancreatojejunostomy was taken. The stone and pus was removed from the duct and it was joined with a limb of jejunum.

She recovered well and was discharged in a painless condition on the 5th postoperative day.

Here is how it was done: